North, Rod
North, Rod is an individual health care provider with primary practice located at 206 N Spruce St Suite 3, Winston Salem NC 27101-2747. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. North, Rod can be contacted via phone (336) 724-1412.Contact Information
Primary practice address
206 N Spruce St Suite 3
Winston Salem NC 27101-2747
Phone: (336) 724-1412
Fax: (336) 724-1464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5138 | North Carolina |
Profile Details
| NPI number | 1700942612 |
|---|---|
| LBN Legal business name | North, Rod |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700942612 | NPPES |
| North Carolina | MEDICAID | 6106264 |
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